Chapter 674: Chapter 279: The Formidable Youth, Dr. Du Bows His Head After Being Beaten Down by Society_2
Standing there, he just shifted slightly to the side.
Zhou Can didn’t mind; having practiced medicine for so long, he had seen all kinds of family members.
Enduring minor grievances was par for the course.
It was only now that his medical status had risen that he could receive good treatment in front of senior doctors. Back when he was an intern and his status was not yet elevated, he really got it from both ends.
After being scolded by patients and family members, he would still get another talking-to during hospital rounds, and the faces of his teaching doctors sometimes looked as dark as if they were smeared with soot.
After examining the patient, Zhou Can had a better idea in his heart.
Director Zhang, Deputy Director Shi, and Director Jiang had already started discussing the patient’s condition. However, none of them had made any significant diagnostic breakthroughs.
“May I ask, did she ever mention having a headache when she gets up in the morning?”
Zhou Can decided to delve deeper.
“It seems that she did have this symptom. She often says she didn’t sleep well last night and has a bit of a headache,” the patient’s mother replied.
“Has she ever had enuresis?”
Zhou Can’s mind had already formed a further judgment.
“Er… I don’t think so!” the patient’s mother hesitated in her reply.
Her flickering gaze and rapidly changing complexion indicated that she was not telling the truth.
In fact, there are some other ways for doctors to judge whether family members answer questions honestly.
For instance, when lying, one’s eyes tend to look up to the left, indicating that family members or patients are trying to fool the doctor. Eyes looking up to the right suggests they are recalling past events, making it more likely that they are telling the truth.
Just now, the patient’s mother looked up to the left when answering and her gaze was evasive, not daring to meet Zhou Can’s eyes; she was probably lying.
“Illness must not be concealed from a doctor. There’s no need for you to feel embarrassed on behalf of your daughter. Telling us the true symptoms will help us identify her illness. Once we find the cause, we may be able to cure her sleep apnea syndrome, and then all her symptoms will disappear and her body will return to normal,” Zhou Can gently persuaded the family member, painting a rosy picture.
“Um… My daughter did have enuresis, but it only happened occasionally,” the patient’s mother confessed quietly, lowering her head. Find the newest release on ɴovelfire.net
The two family members, realizing that Zhou Can could accurately describe some of their daughter’s secret symptoms, began to see this young doctor in a new light.
“Director Zhang, I suggest checking the patient’s thyroid function,” Zhou Can proposed a diagnostic suggestion to the lead Director Zhang.
Yang Chan and Gao Jian were shocked, as they hadn’t expected Zhou Can to achieve a diagnostic breakthrough so quickly.
It was only because they had never worked with Zhou Can in the same department.
Otherwise, they would have considered such occurrences not at all unusual.
There were quite a few attending physicians who had been thoroughly outperformed by Zhou Can, not to mention themselves, who were residents at the same level as him.
Trying to compete with a prodigy like Zhou Can would be more like seeking masochism.
“Why do you suspect that there is a problem with her thyroid function?” Director Zhang did not immediately express his stance but was very curious about Zhou Can’s diagnostic direction.
Central sleep apnea should be diagnosed in the direction of central nervous system lesions. Obstructive sleep apnea should deal with respiratory tract lesions.
Yet Zhou Can deviated from these two directions and focused on the patient’s thyroid, a perspective that was extremely rare to come by.
“There are several reasons! First, look at the patient’s neck. Based on my clinical experience in general surgery, I diagnose that there is likely a problem with her thyroid.”
This ability to visually diagnose, identifying the disease from the patient’s body and appearance, requires a doctor to be well-versed and have rich clinical experience.
Zhou Can had rotated through various surgical departments and performed a shockingly high number of surgeries, which benefitted him greatly in later clinical diagnoses.
For example, he could tell by a patient’s complexion that there might be a presence of a malignant tumor.
Or as in this case, by observing the patient’s neck, he could find that there was a change in the thyroid.
This ability to use inspection to discover potential diseases was something every doctor present possessed. However, their inspection skills were limited and their perspectives rather narrow, unable to implement a full-spectrum inspection like Zhou Can.
Even Director Zhang Bihua, who specializes in obstetrics, could only be considered knowledgeable in that area.
Her understanding of general surgery was not profound, at best at an elementary level.
In fact, this was the case for most attending physicians, who were experts in their own fields, with only a cursory knowledge of other medical areas.
“Also, the patient was found to have upper respiratory secretory edema during a bronchoscopy, which is actually a typical endocrine and metabolic disease. Additionally, the patient has symptoms like easy awakening, central distribution of fat, and muscle relaxation, which are also related to endocrine and metabolic diseases. It would be even better if we could measure her bone density. This disease will definitely lead to osteoporosis,” Zhou Can offered several diagnostic reasons.
These clues, undetected or deemed insignificant by other doctors, were crucial for his diagnosis.
“Dr. Zhou’s diagnosis is well-founded and logical, I think it should be adopted. What do Director Shi and Director Jiang think?”
Zhang Bihua turned to the others.
“I have no objections.”
Deputy Director Shi naturally raised both hands in favor. Zhou Can represented Digestive Internal Medicine, and they were in the same “team.” Now that Zhou Can had made an impression, it reflected well on him as a doctor in the same department as well.